Redstone, Ellen Alice

Redstone, Ellen Alice is an individual health care provider with primary practice located at 3735 Nazareth Rd Suite 206, Easton PA 18045-8338. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Redstone, Ellen Alice can be contacted via phone (484) 503-8281.

Contact Information

Primary practice address
3735 Nazareth Rd Suite 206 Easton PA 18045-8338
Fax: (484) 503-8200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD067870L Pennsylvania

Profile Details

NPI number 1669417663
LBN Legal business name Redstone, Ellen Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Nov 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669417663 NPPES
Pennsylvania MEDICAID 01750444

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